Manage the end-to-end revenue cycle process, including patient registration, billing, coding, claims processing, collections, and A/R follow-up.
Build, lead, and mentor a high-performing revenue cycle team across billing, collections, and denial management.
Establish clear KPIs, performance metrics, and career development pathways.
Implement strategies to streamline workflows, enhance automation, and improve first-pass claim resolution rates.
Partner with clinical, IT, and compliance teams to ensure process alignment and seamless integration.
Champion data-driven decision-making and continuous process improvement initiatives.
Analyze denial trends, identify root causes, and reduce denial rates.
Collaborate with payers to resolve underpayments and ensure accurate reimbursement.
Monitor, track, and report on denial management effectiveness and financial impact.
Ensure adherence to federal, state, and payer-specific regulations.
Prepare and deliver revenue cycle performance reports, financial dashboards, and leadership updates